Integrated Psychological Solutions LLC
NPI 1104379882ActiveOrganization· Psychologist, Clinical· Las Vegas, NV
Psychologist, Clinical in Las Vegas, Nevada, registered in NPPES in July 2016. The authorized official on file is Bonnie M. Brown, Owner/Member. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1104379882 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 28, 2016 |
| Last updated in NPPES | Aug 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PY0405 | NV |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (NV) |
|---|
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